Provider Demographics
NPI:1093443137
Name:SCHREUDERS, KELSEY MARGUERITE STEPHENS (PHARMD)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:MARGUERITE STEPHENS
Last Name:SCHREUDERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2694 FESSEY CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2813
Mailing Address - Country:US
Mailing Address - Phone:615-600-3854
Mailing Address - Fax:
Practice Address - Street 1:2694 FESSEY CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2813
Practice Address - Country:US
Practice Address - Phone:615-600-3854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN464521835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist